ADA Accommodation Claims Specialist

Sedgwick; Dubuque (IA); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Sedgwick is seeking an ADA Accommodation Coordinator to process disability accommodation claims and referrals, ensuring compliance with ADA, state, and client requirements. The role involves evaluating documentation, determining eligibility, and coordinating accommodations with internal teams.

Hybrid work is available; candidates should reside near one of Sedgwick's centers. The position requires strong communication, analytical, and organizational skills, with prior claims or benefits

Qualifications

• Excellent oral and written communication skills.
• PC literate, including Microsoft Office products.
• Analytical and interpretive skills.
• Strong organizational skills.
• Excellent interpersonal skills.
• Good negotiation skills.
• Ability to work in a team environment.
• Ability to meet or exceed Performance Competencies.

Responsibilities

• Informs claimants of documentation required to process claims, required time frames, and claims status either by phone, written correspondence and/or claims system.
• Reviews medical information to determine if the claimant meets the requirements under ADA, state, and/or client requirements for a qualifying condition.
• Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to deny claims based on the ADA, state, and/or client requirements. Processes ADA claims ensuring compliance with duration control guidelines, ADA and state regulations, and/or client-specific process provisions.
• Determines accommodation options; makes timely claims referrals for appropriate disability and federal/state leave of absence eligibility reviews where applicable.
• Conducts initial employee interview per process guidelines.
• Utilizes the appropriate clinical and vocational resources in case assessment (i.e. duration guidelines, in-house clinicians, ADA job accommodation specialists).
• Refers cases as appropriate to team lead.
• Maintains professional client relationships.
• Performs other duties as assigned.
• Supports the organization's quality program(s).

Skills

Communication

MS Office

Analytical skills

Organizational skills

Interpersonal skills

Negotiation

Teamwork

Performance

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Sedgwick is seeking an ADA Accommodation Coordinator to process disability accommodation claims and referrals, ensuring compliance with ADA, state, and client requirements. The role involves evaluating documentation, determining eligibility, and coordinating accommodations with internal teams.

Hybrid work is available; candidates should reside near one of Sedgwick's centers. The position requires strong communication, analytical, and organizational skills, with prior claims or benefits